颈腔镜下不使用超声刀的甲状腺手术6例  

Endoscopic thyroidectomy without the use of ultrasonic scalpel: Report of 6 cases

作　　者：彭毅[1] 钟东[1] 钟立明[1] 张风涛[1] 叶建宇[1] 周晓初[1] 尹耀新[1] 熊沛[1] 

机构地区：[1]北京大学深圳医院腔镜外科中心,深圳518036

出　　处：《中国微创外科杂志》2006年第3期169-171,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨不用超声刀施行腔镜甲状腺手术的可行性。方法应用单极高频电刀行腔镜下甲状腺良性肿物切除术6例。结果全部病例手术均获成功。手术时间80-200min，平均110min；术中出血量25—50ml，平均36ml。术后24h下床活动，进流质饮食，无并发症。术后第2天拔颈部引流管，术后3～5d出院。结论高频电刀行腔镜甲状腺手术安全、可行。Objective To explore the feasibility of endoscopic thyroidectomy without the use of ultrasonic scalpel. Methods Monopolar high frequency electrosurgical unit was used to complete endoscopic thyroidectomy in 6 cases of thyroid benign tumors. Results All the operations were completed successfully. The operation time was 80 -200 min （ mean, 110 min） and the intraoperative blood loss was 25 - 50 ml （ mean,36 ml）. The patients got out - of - bed activities and took liquid diets at a mean of 24 hours postoperatively. No complications was found. The drainage tube was removed on 2 days after operation and the patients were discharged from hospital at 3 ~ 5 days. Conclusions Use of high frequency electrosurgical unit for endoscopic thyroidectomy is safe and feasible.

关 键 词：腔镜 高频电刀 甲状腺肿瘤 甲状腺切除术 颈腔镜 不用超声刀 

分 类 号：R653[医药卫生—外科学]